Provider Demographics
NPI:1407294366
Name:FRANK A. OLIVEIRA LLC
Entity Type:Organization
Organization Name:FRANK A. OLIVEIRA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-910-5149
Mailing Address - Street 1:1071 POST RD E STE 202
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5361
Mailing Address - Country:US
Mailing Address - Phone:203-910-5149
Mailing Address - Fax:203-221-9135
Practice Address - Street 1:1071 POST RD E STE 202
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5361
Practice Address - Country:US
Practice Address - Phone:203-910-5149
Practice Address - Fax:203-221-9135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001555106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty